DTIC ADA372272: Sedation of Pediatric Patients in Magnetic Resonance Imaging PDF
Preview DTIC ADA372272: Sedation of Pediatric Patients in Magnetic Resonance Imaging
f-U. 7. SEDATION OF PEDIATRIC PATIENTS IN MAGNETIC RESONANCE IMAGING Alesia D. Ricks APPROVED: ll^fll JohnJ>. McDonough,-CRNA, Ed.D., Chair of Committee Date /S^L ?f >t^ri Kenneth P. Miller, Ph.D., RN, F Date Date MSN, CRNA, Member. 0 f: APPROVED: Date F.G. Abdellah, Ed.D, ScD., RN, FAAN Dean 1 WvemT»*•• 20000112 060 CURRICULUM VITAE Name: Alesia Denise Ricks Degree and date to be conferred: Master of Science in Nursing, Uniformed Services University of Health Sciences, October 1999. (PH Redacted] Secondary Education: Dreher High School, Columbia, South Carolina, 1984. Collegiate Institutions Attended: Dates Degree Date of Degree October, 1999 MSN Uniformed Services University of 1997-1999 Health Sciences Major: Nurse Anesthesia Summer University of South Alabama 1996 Major: Advanced Nurse Practitioner Fall, 1995- Florida State University Spring 1997 Major: Nursing December 1988 BSN Fall, 1986- Clemson University Fall, 1988 Major: Nursing Fall, 1984- South Carolina State University Spring,1986 Major: Pre-nursing Professional Positions Held: 1997-present Graduate Student of Nursing Nurse Anesthesia Uniformed Services University of Health Science Staff Nurse, Medical Flight 1993-1997 Intensive Care Unit Eglin Air Force Base, FL 1 Professional Positions Held (cont.) Staff Nurse, Pediatric Flight 1989-1993 Neonatal Intensive Care Unit Wright-Patterson Air Force Base, Ohio Staff Nurse 1989 Medical/Surgical Unit Baptist Medical Center Columbia, South Carolina Professional Organizations Sigma Theta Tau International Honor Society for Nursing 3 DISCLAIMER STATEMENT Department of Defense This work was supported by the Uniformed Services University of the Health Sciences Protocol No. TO6160-01. The opinions or assertions contained herein are the private opinions of the author and are not to be construed as official or reflecting the views of the Department of Defense or the Uniformed Services University of the Health Sciences. in y COPYRIGHT STATEMENT The author hereby certifies that the use of any copyrighted material in the thesis entitled: "Sedation of Pediatric Patients in Magnetic Resonance Imaging" beyond brief excerpts is with the permission of the copyright owner, and will save and hold harmless the Uniformed Services University of the Health Sciences from any damage which may arise from such copyright violations. IV f SEDATION OF PEDIATRIC PATIENTS IN MAGNETIC RESONANCE IMAGING By CAPT ALESIA D. RICKS, RN, BSN, NQUSAF Presented to the Graduate School of Nursing Faculty of the Uniformed Services University of the Health Sciences in Partial Fulfillment of the Requirements for the Degree of MASTER OF SCIENCE UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES October 1999 (Pll Redacted] PREFACE This research was conducted to evaluate the safety and efficacy of a pediatric sedation regimen for magnetic resonance imaging at a midwest medical facility. It was designed to support the use of pediatric sedation outside of the operating room. VI ") DEDICATION To the most High who promised success in Isaiah 40:31,1 dedicate this thesis work to you Lord. To my family, whose love and support help make this journey possible. I love you, Mike, with all of my heart. Thank you, Mom and Dad, for building the foundation of hard work and perseverance within me. Hambee, Lippess, and Delaine, you were the wind beneath my wings! Vll TABLE OF CONTENTS PREFACE vi DEDICATION vii LIST OF TABLES x CHAPTERI. INTRODUCTION 1 Background 1 Problem statement 9 Purpose 9 Research Questions 9 Conceptual Framework 10 Definitions 11 Assumptions and Limitations 11 CHAPTERII. REVIEW OF LITERATURE 14 Introduction 14 Chloral Hydrate 14 Meperidine and Midazolam 16 Ketamine Administration 18 Ketamine and Midazolam 20 Propofol 22 CHAPTERIH. METHODOLOGY 25 Introduction 25 Sample 25 Measurement 26 Protection of Human Rights 26 Vlll TABLE OF CONTENT (cont.) Plan for Data Analysis 28 CHAPTERIV. DATA ANALYSIS 29 Introduction 29 Study Sample Demographics 29 Analysis of Data 31 CHAPTER V. CONCLUSIONS 34 Overview of Study 34 Characteristics of Study Sample 35 Effects of Intramuscular Dart 37 Completion of MRI Scanning 38 Future Study 41 REFERENCE 43 APPENDICES 51 ix
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